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Organization
PHOENIX HOUSES OF NEW ENGLAND INC.
Active
Organization
PHOENIX HOUSES OF NEW ENGLAND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO P. MENDOZA LCDCS (DIRETOR OF COMMUNITY SERVICES)
(401) 783-0782
Entity
Organization
Contact information
Practice address
1058 KINGSTOWN RD, WAKEFIELD, RI 02879-2487
(401) 783-0782
(401) 783-1154
Mailing address
1058 KINGSTOWN RD, WAKEFIELD, RI 02879-2487
(401) 783-0782
(401) 783-1154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS 00003
RI
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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